Respiratory

Question 1

NIV in COPD exacerbation type 2 failure

Answer 1

BiPAP

Question 2

COPD complication

Answer 2

polycythaemia

Question 3

asbestos fibrosis

Answer 3

lower zone PF

Question 4

COPD exac

Answer 4

oral pred and abx if purulent sputum or signs of infection

Question 5

CURB 65

Answer 5

Confusion, Urea >7, RR>or equal to 30, BP <90/60, 65

Question 6

Alpha 1 antitrypsin

Answer 6

hepatocellular carcinoma

Question 7

lung cacner with gynaecomastia

Answer 7

adenocarcinoma

Question 8

ENT, respiratory and kidney involvement and cANCA

Answer 8

GPA

Question 9

bronchiectasis bug

Answer 9

H.influenzae

Question 10

small cell cancer syndromes

Answer 10

ACTH, ADH and L-EMS

Question 11

squamous cell cancer syndromes

Answer 11

PTH and TSH

Question 12

cavitating lung cancer

Answer 12

squamous

Question 13

pneumonia causing haemolytic anaemia and erythema multiforme and neurological symptoms

Answer 13

myoplasma pneumonia

Question 14

which TB drug makes you want to test visual acuity

Answer 14

ethambutol

Question 15

reduce oral thrush with inhaled steroids

Answer 15

use spacer

Question 16

TB symptoms investigation CXR done

Answer 16

sputum microscopy

Question 17

rifampicin side effects

Answer 17

hepatitis, orange secretions and flu-like symptoms

Question 18

isoniazid side effects

Answer 18

peripheral neuropathy (give pyridoxine), hepatitis, agranulocytosis and drug induced lupus

Question 19

pyrazinamide side effects

Answer 19

gout, arthralgia, myalgia and hepatitis

Question 20

ethambutol side effects

Answer 20

optic neuritis (check visual acuity), adjust dose if renal impairment

Question 21

<2cm primary pneumothorax no breathlessness

Answer 21

discharge

Question 22

transudative pleural effusion cause

Answer 22

protein<30
FAILURE heart failure, cirrhosis, nephrotic syndrome and malabsorption

Question 23

exudative pleural effusion cause

Answer 23

protein>30
INFLAMMATION pneumonia, lung cancer, TB, SLE, rheumatoid arthritis and PE

Question 24

HIV pneumonia

Answer 24

PCP pneumocystis jiroveci (co-trim prophylaxis)

Question 25

pneumothorax with asthma <1cm

Answer 25

admit, give oxygen for 24h and review

Question 26

initial investigation for free fluid in the abdomen and chest

Answer 26

FAST scan

Question 27

pneumonia in diabetics and alcoholics that causes cavitation in the upper lobes

Answer 27

Klebsiella

Question 28

pneumonia in CF/HAP eg ITU on ventilator with ground-glass attenutation

Answer 28

Pseudomonas

Question 29

pneumonia with flu-like symptoms and dry cough with one lobe affected

Answer 29

mycoplasma

Question 30

hypertrophic pulmonary osteoarthropathy cancer

Answer 30

squamous cell cancer

Question 31

trachea towards white out lung

Answer 31

pneumonectomy (can’t be pleural effusion, hernia or large mass because these would push it away)

Question 32

COPD severity with FEV1

Answer 32

> 80 with symptoms - MILD
50-79% - MOD
30-49% - SEVERE
<30% - V SEVERE

Question 33

legionella test

Answer 33

urinary antigen test

Question 34

haemoptysis, rapidly progressive glomerulonephritis and saddle nose

Answer 34

GPA

Question 35

acute COPD management

Answer 35

-SABA nebs
-oral pred
-only Abx if signs of pneumonia/purulent sputum